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PROVIDENCE COMMUNITY HEALTH, LLC - Florida Company Profile

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Company Details

Entity Name: PROVIDENCE COMMUNITY HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Dec 2020 (5 years ago)
Document Number: L20000378949
FEI/EIN Number 85-4350502
Address: 2150 S CONGRESS AVE, PALM SPRINGS, FL, 33406, US
Mail Address: 2150 S CONGRESS AVE, PALM SPRINGS, FL, 33406, US
ZIP code: 33406
City: West Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ERNEST SAUL Manager 16225 SW 19TH STREET, MIRAMAR, FL, 33027
ERNEST SAUL Agent 16225 SW 19TH ST, MIRAMAR, FL, 33027

National Provider Identifier

NPI Number:
1093471815
Certification Date:
2025-04-26

Authorized Person:

Name:
SAUL ERNEST
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5618331101

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-10-13 2150 S CONGRESS AVE, PALM SPRINGS, FL 33406 -
CHANGE OF MAILING ADDRESS 2021-10-13 2150 S CONGRESS AVE, PALM SPRINGS, FL 33406 -
REGISTERED AGENT ADDRESS CHANGED 2021-10-13 16225 SW 19TH ST, MIRAMAR, FL 33027 -

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-03-04
AMENDED ANNUAL REPORT 2021-10-13
AMENDED ANNUAL REPORT 2021-08-19
AMENDED ANNUAL REPORT 2021-07-26
ANNUAL REPORT 2021-04-30
Florida Limited Liability 2020-12-03

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Date of last update: 03 Aug 2025

Sources: Florida Department of State